Progress

Tuesday, June 8, 2010

No Title Today


I just wanted to thank you all for your comments yesterday.  It meant a lot to me to see so many people behind me.  Now that I've stopped crying...I'll answer some questions.

First, I don't want anyone to think...especially my hubby...that I'm not happy that Ron got approved.  I am because he needs this even more than me because he DOES have the health issues that come with being so heavy.  So...that being said, I'm just upset at my situation.  We knew my approval was a longshot but I guess I just got my hopes up.  I really felt like this was going to happen for me and now it just doesn't seem like it will. 

Anyway, there may be a glimmer of hope.  My surgeon has scheduled a "peer to peer" call with the medical director at the insurance company for Thursday.  I guess he'll try to make a case for me and have the decision reversed.  Greg (the guy from my surgeon's office) said that sometimes this is successful.  My husband spoke to Greg about this too because Greg had to call him to let him know he was approved.  Apparently, Greg told him that Dr. Simpson has been doing this a long time and is very optimistic that it'll work.  I'm not sure if any of this is true as my dear hubby may have just been trying to make me feel better.  So anyway...there's this conversation.  Depending on how it goes, Greg is going to get me signed up for a sleep study to see if they say I have sleep apnea (I really don't think I do).  And then we can file an official appeal if need be.  Also, this is all through my husband's insurance so if all of this fails, I may look into changing insurance companies to the one my company offers and see if they'd approve me.  So there you have it.  Those are the next steps.  Self pay is not an option.  I don't have that kind of money and my credit isn't good enough to get me that kind of money.  I'm not anti-Mexico...but even that is too expensive for me.  So this where everything stands. 

Again, I appreciate your support.  I'm not in a good place now.  I admit I've been eating my feelings the last two days and I just don't care.  Everything seems hopeless.  I have a tendency to snowball things in my mind so when one thing goes wrong, it's like the sky is falling.  I start thinking about all the other things in my life that are bothering me.  The fact that I can't self pay gets me thinking about my finances which SUCK which gets me thinking about my job which gets me thinking...blah, blah, blah.  Anyhoo...just wanted to check in so y'all knew I didn't go throw myself off a cliff or anything.

13 comments:

Drazil said...

Hang in there....there's a reason for everything and I think you have good reason to hope!

TracyZ said...

I am with Draz on this - hang in there and don't give up!

Easiest way to fail a sleep test - lie on your back with the pillows under your neck so they will push your neck down to your chest. They actually want you to sleep on your back for the study so its not really "cheating".

Barbara said...

Postive vibes are on their way ~~~~~~~~~~~~ we hopes of a good outcome and a big YES on your way

Kristen said...

I went through this when I first thought about getting the band.. I was told 'no' because I was a few pounds under..and I didn't bother to fight it ..a year and a 1/2 later.. and more lbs later..I actually did qualify..

I hope your doc can get you a green light..

:0)

Lynda said...

Oh no! I just saw the news from yesterday. Congrats for your husband, but so sorry for you. I will keep my fingers crossed that the "peer to peer" conversation goes your way.

Jacquie said...

My fingers are crossed that you will ultimately get approved!

Camille said...

I REALLY hope your surgeon can get them to approve it! It seems really silly to wait for you to get ill from your weight. This is a great time to do it. I sending you good luck vibes!!

Stephanie said...

I'll keep you in my thoguths and prayers and remember to keep hope alive!

Bonnie said...

I'm just catching up on blogs and am so sorry to hear about your crappy news. I will be keeping my fingers crossed for you all day on Thursday and sending positive thoughts your way.

-Grace- said...

I'm thinking good thoughts for you, hun. I hope this call from the Doctor pays off big!

Colls said...

I am rooting for you, this sounds promising! We all know that you are happy for your husband - even he knows that. You are only human and are entitled to your feelings. I am sure he will understand. Soon enough you both will be celebrating together, I really believe that. Big Hugs!! <3

Jenny said...

I'm sorry. Try to have hope that your Dr. can talk to them. Of course you are happy for your DH, but you are entitled to feel bummed and pissed off. Or any other feelings that you may be having. Don't give up.

Girl Bandit said...

Oh Amanda I never felt for one minute that you weren't happy for DH but I just felt your overwhelming sorrow at not being approved. It seems like you have a few options so go with those. I can just imagine how down you felt. In Australia we don't go the dreadful process you guys do...but I paid $5k out of pocket and I think most of us do...the rest was covered by my insurance...I didn't even have to ask them...you just go to the surgeon with a referral from your GP. If I had to go through what you did I would have been so impatient and just as devastated at you. Take each step one at a time and between us all we will be able to think of some type of solution....(((((super dooper hugs))))